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International Journal of Clinical and Experimental Medicine Research

ISSN Print: 2575-7989 Downloads: 182519 Total View: 2273402
Frequency: quarterly ISSN Online: 2575-7970 CODEN: IJCEMH
Email: ijcemr@hillpublisher.com
Article http://dx.doi.org/10.26855/ijcemr.2024.10.018

Application and Effect Evaluation of Orthopedic Surgery in Treating Adolescent Accessory Bone Pain

Ao Hong1,*, Guangda Mi2

1Department of Orthopedics II, First Affiliated Hospital of Hunan Normal University (Hunan Provincial People's Hospital), Changsha 410000, Hunan, China.

2Department of Pediatric Orthopedics, First Affiliated Hospital of Hunan Normal University (Hunan Provincial People's Hospital), Changsha 410000, Hunan, China.

*Corresponding author: Ao Hong

Published: November 29,2024

Abstract

Objective: To investigate the application and effectiveness of accessory navicular excision combined with posterior tibial tendon reconstruction in treating adolescent accessory bone pain. Methods: A total of 60 adolescent patients with accessory bone pain treated between January 2023 and May 2024 were selected and divided into two groups based on treatment methods: the control group (30 patients receiving conventional anti-inflammatory and analgesic treatment) and the study group (30 patients receiving accessory navicular excision and posterior tibial tendon reconstruction in addition to control group treatment). Pain levels, treatment efficacy, and foot function scores were compared between the two groups. Results: Before treatment, no significant difference in VAS scores was observed between the two groups (P > 0.05); after treatment, the study group had lower VAS scores than the control group (P < 0.05). The treatment effect in the study group was superior to that of the control group, with significant differences noted (P < 0.05). Before treatment, no significant difference in foot function scores was observed (P > 0.05); after treatment, the study group had significantly higher functional scores than the control group (P < 0.05). Conclusion: Accessory navicular excision combined with posterior tibial tendon reconstruction significantly improves treatment outcomes, alleviates pain, and enhances foot function in adolescents with accessory bone pain.

References

[1] Wang XW, Liu C, Ma Q, et al. Efficacy analysis of medial column stabilization surgery for accessory navicular-related flatfoot. Chinese Journal of Modern Surgery. 2022;26(5):376-380.

[2] Liu WZ, Ma MJ, Zeng G, et al. Efficacy analysis of modified Kidner procedure combined with HyProCure subtalar joint stabilization for pediatric flexible flatfoot with painful accessory navicular. Journal of Foot and Ankle Surgery Electronic. 2022;9(3):22-26.

[3] Zhou J, Yuan K, Wang F, et al. Efficacy study of calcaneal osteotomy combined with Kidner procedure for accessory navicular-related flatfoot. Journal of Baotou Medical College. 2022;38(9):15-19.

[4] Ma XH, Ding GY, Dong ZY, et al. Efficacy analysis of TwinFix anchor suture for painful accessory navicular combined with flatfoot. Journal of Foot and Ankle Surgery Electronic. 2021;8(4):51-55.

[5] Sun LW, Wang J, Zhong H, et al. Incidence and anatomical classification of accessory navicular in patients with foot pain: a multimodal imaging analysis. Modern Medical Imaging. 2021;30(12):2182-2186.

[6] Li X, Li DH, Zhang KL. Comparison of two rehabilitation exercise methods after symptomatic type II accessory navicular excision. Chinese Journal of Orthopaedic Surgery. 2021;29(17):1609-1611.

[7] Tai Q, Wu DJ. Modified Kidner procedure for accessory navicular syndrome. Clinical Orthopaedic Journal. 2021;24(4):593-595.

[8] Luo Y, Qi W, Wei M. Modified Kidner procedure combined with tendon arthroscopy for painful accessory navicular. Chinese Journal of Bone Injury. 2021;34(5):448-451.

[9] Sun DL, Cui JQ, Kang L, et al. Comparison of two surgical techniques for adolescent type II painful accessory navicular. Chinese Journal of Orthopaedic Surgery. 2021;29(9):799-803.

[10] Yu L, Zhao BF, Li CX, et al. Efficacy of modified Kinder procedure for type II painful accessory navicular in grassroots officers and soldiers. Chinese Medical Journal of Armed Police. 2021;32(4):325-328.

[11] Liu DX. Study on the correlation between accessory navicular and flatfoot pathogenesis based on weight-bearing X-ray. Gansu University of Chinese Medicine, 2023.

[12] Li SF, Zhu FP, Gu QF, et al. Clinical effect of Haitongpi decoction fumigation on type II painful accessory navicular. Chinese Medical Science. 2024;14(6):17-20.

[13] Chen B, Zhang H, Qiao L, et al. Clinical efficacy comparison of Kidner procedure and accessory navicular fusion for adolescent type II painful accessory navicular. Great Physician. 2023;8(19):47-49.

[14] Deng MM, Sun GC, Du R, et al. Comparison of two surgical techniques for pediatric flexible flatfoot combined with painful accessory navicular. Chinese Journal of Repair and Reconstruction Surgery. 2023;37(10):1225-1229.

[15] Liu CY, Shi C, Chang X, et al. Clinical effect of subtalar joint stabilization combined with medial soft tissue reconstruction for adolescent painful accessory navicular with flatfoot deformity. Clinical Medical Research and Practice. 2023;8(11):15-18.

How to cite this paper

Application and Effect Evaluation of Orthopedic Surgery in Treating Adolescent Accessory Bone Pain

How to cite this paper:  Ao Hong, Guangda Mi. (2024) Application and Effect Evaluation of Orthopedic Surgery in Treating Adolescent Accessory Bone Pain. International Journal of Clinical and Experimental Medicine Research8(4), 646-650.

DOI: https://dx.doi.org/10.26855/ijcemr.2024.10.018